Treatment of Hip Dislocations and Associated Injuries

Hip dislocations, most often caused by motor vehicle accidents or similar high-energy trauma, traverse a large subset of distinct injury patterns. Understanding these patterns and their associated injuries allows surgeons to provide optimal care for these patients both in the early and late postinjury periods. Nonoperative care requires surgeons to understand the indications. Surgical care requires the surgeon to understand the benefits and limitations of several surgical approaches. This article presents the current understanding of hip dislocation treatment, focusing on anatomy, injury classifications, nonoperative and operative management, and postinjury care.

Key points

  • Time to initial hip relocation is considered an orthopedic emergency.

  • Dislocations can be classified according to associated adjacent injuries, including acetabular, femoral head, and femoral neck fractures.

  • Choice of open approach depends on visualization needed to treat associated hip injury.

  • Complications include osteoarthritis, osteonecrosis, heterotopic ossification, and sciatic nerve palsy.

  • Outcomes depend on the degree of initial trauma to the joint.

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Oct 6, 2017 | Posted by in ORTHOPEDIC | Comments Off on Treatment of Hip Dislocations and Associated Injuries

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